1St & 10 Group Home, Inc. #2

LBN: 1St & 10 Group Home, Inc. #2
1St & 10 Group Home, Inc. #2 is an health care organization with primary practice located at 6090 Turkey Highway , Turkey NC 28393-9998. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. 1St & 10 Group Home, Inc. #2 can be contacted via phone (910) 590-2034, or through Mcphail, Jerris Cornelius via phone (910) 299-0099.

Contact Information

Primary practice address
6090 Turkey Highway Turkey NC 28393-9998
Phone: (910) 590-2034
Fax: (910) 299-0010
Website:
Map and Directions
Authorized official contact:
Name: Mcphail, Jerris Cornelius
Phone: (910) 299-0099

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL082071 North Carolina

Profile Details

NPI number 1215127675
LBN Legal business name 1St & 10 Group Home, Inc. #2
DBA Doing business as
Authorized official Mcphail, Jerris Cornelius
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2007
Last updated Mar 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215127675 NPPES
North Carolina MEDICAID 6604227

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